Organization
TRIDENT PAIN CENTER P A
Active
Parent organization
TRIDENT PAIN CENTER P A
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRIDENT PAIN CENTER P A
Authorized official
DR. JOSEPH EDWARD NOLAN (MD)
(843) 797-3636
Entity
Organization
Contact information
Practice address
205 EDDIE CHASTEEN DR, WALTERBORO, SC 29488-5728
(843) 797-3636
(843) 797-3637
Mailing address
9267 MEDICAL PLAZA DR STE G, NORTH CHARLESTON, SC 29406-9139
(843) 797-3636
(843) 797-3637
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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